Douglas Dental, LLC

NPI #1508001660 in Douglas, Arizona

Provider Information

NPI Number: 1508001660
Entity Type: Organization
Organization Name: Douglas Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 3, 2008
Last Updated: Dec 3, 2008

Practice Location

Address: 1915 E 10TH ST
City: Douglas
State: Arizona
ZIP Code: 85607-2407
Phone: (520) 459-3067

Authorized Official

Name: MS. ANGELA MARIA BEJARANO
Title: ACCOUNTS RECEIVABLE
Phone: (520) 459-3067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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